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Sex therapy for the penile prosthesis recipient
1Center for Sexual Function, Cleveland Clinic Foundation, Ohio.
The Urologic Clinics of North America
|February 1, 1989
Summary
Penile prosthesis surgery is technically successful, but many patients and partners lack sexual satisfaction. Integrating sex therapy with medical treatments can improve outcomes and reduce dropout rates.
Area of Science:
- Urology
- Sexual Medicine
- Psychology
Background:
- Penile prosthesis implantation is a common surgical treatment for erectile dysfunction.
- While technically successful, patient and partner satisfaction rates vary significantly.
Observation:
- A substantial minority of patients and their partners report dissatisfaction post-surgery.
- Sexual function recovery can be challenging, impacting overall satisfaction.
Findings:
- Surgical success does not always equate to sexual satisfaction.
- Integrated treatment programs, including sex therapy, show promise for improving outcomes.
Implications:
- Sex therapy, tailored to individual risk factors, can enhance post-implantation sexual experiences.
- Preoperative counseling and postoperative follow-up are crucial for successful sexual rehabilitation.
- An integrated approach may also benefit other erectile dysfunction treatments, like intracavernosal injections, reducing dropout and misuse.